I patched the following together from the examples in the Activestate documentation in the section "Using OLE with Perl", under the subheading "How do I run a Macro in Microsoft Excel". It works quite well.

This will only work if you run it on a Windows system with Excel installed

    
use strict;
use Win32::OLE qw(in with);
use Win32::OLE::Const 'Microsoft Excel';

my $filename = 'book1.xls';
my $Excel = Win32::OLE->GetActiveObject('Excel.Application')|| Win32::
+OLE->new('Excel.Application', 'Quit');  # use the Excel application i
+f it's open, otherwise open new

my $Book = $Excel->Workbooks->Open( $filename ); # open the file
$Excel->Run("macro_name");
$Book->Save; #optional - save any changes made by the macro
$Book->Close;
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